MEDICARE: REESE FRANKLIN PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1274185	TX

General Provider Information

NPI Number	:	1023606514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REESE FRANKLIN PT, DPT

Provider Business Mailing Address
First Line	:	5313 SERENE HILLS DR APT 1903
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78738-0044
Country	:	US
Telephone Number	:	713-305-2428
Fax Number	:

Provider Business Practice Location Address
First Line	:	5313 SERENE HILLS DR APT 1903
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78738-0044
Country	:	US
Telephone Number	:	713-305-2428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2021
Last Update Date	:	01/09/2021

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Directions to “ REESE FRANKLIN PT, DPT” Practice Location

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